Jared R. Lake, M.D.

Anesthesiology Physician · Murray, UT

Individual Active NPI

NPI number 1720286255

Practice location

5121 Cottonwood St
Murray, UT 84107-5701
Phone
(801) 507-5248

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NPI record

NPI
1720286255
Entity type
Individual (Type 1)
Enumeration date
July 5, 2007
Last updated
December 5, 2011
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Anesthesiology Physician Primary 207L00000X 7890667-1205 UT

Mailing address

3340 N Center St
#800
Lehi, UT 84043-7406
Phone
(801) 990-1911

About Dr. Lake

Jared R. Lake, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Anesthesiology Physician (code 207L00000X). The practice location is 5121 Cottonwood St, Murray, UT 84107-5701. The NPI number 1720286255 was assigned on July 5, 2007 and the record was last updated on December 5, 2011.

Dr. Lake lists a license in the registry: #7890667-1205 (UT) for Anesthesiology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jared R. Lake, M.D.?

The NPI number is 1720286255.

What is the phone number of Dr. Lake?

The phone number listed for the practice location is (801) 507-5248.

Where is Dr. Lake located?

5121 Cottonwood St, Murray, UT 84107-5701.

What is the taxonomy code for Dr. Lake?

The primary taxonomy code is 207L00000X – Anesthesiology Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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